Evidence map›Paper›PMID 33506499›Full record

ArticleInternational journal of cancer2021

Contemporary management of breast cancer in Nigeria: Insights from an institutional database.

Olalekan Olasehinde, Olusegun Alatise, Adeleye Omisore, Funmilola Wuraola, Oluwole Odujoko, Anya Romanoff, Akinbolaji Akinkuolie, Olukayode Arowolo, Adewale Adisa, Gregory Knapp and 8 more

Open access · greenAbstract read
In one paragraph

Article in International journal of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
3.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 3 countries.

Olalekan OlasehindeDepartment of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.ORCID 0000-0002-8706-0756
Olusegun AlatiseDepartment of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Adeleye OmisoreDepartment of Radiology, Obafemi Awolowo University/ Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Funmilola WuraolaDepartment of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Oluwole OdujokoDepartment of Morbid Anatomy and Forensic pathology, Obafemi Awolowo University / Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Anya RomanoffBreast Surgery, Dubin Breast Center, Icahn School of Medicine at The Mount Sinai Hospital, New York, New York, USA.
Akinbolaji AkinkuolieDepartment of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Olukayode ArowoloDepartment of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Adewale AdisaDepartment of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Gregory KnappDepartment of Oncology, Division of Surgical Oncology, University of Calgary, Alberta, Canada.
Olusola FamurewaDepartment of Radiology, Obafemi Awolowo University/ Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Idowu OmisileDepartment of Psychology, Faculty of Social Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
Emmanuella OnabanjoAfrican Research Group for Oncology, OAUTHC, Ile-Ife, Nigeria.
Jeremy ConstableDepartment of Surgery, Memorial Sloan-Kettering Cancer center, New York.
Ganiyat Omoniyi-EsanDepartment of Morbid Anatomy and Forensic pathology, Obafemi Awolowo University / Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Abdul-Rasheed AdesunkanmiDepartment of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Oladejo LawalDepartment of Surgery, Obafemi Awolowo University/Obafemi Awolowo University Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.
Thomas P KinghamDepartment of Surgery, Memorial Sloan-Kettering Cancer center, New York.
Obafemi Awolowo University Teaching Hospitals Complex · NGMemorial Sloan Kettering Cancer Center · USMount Sinai Health System · USObafemi Awolowo University · NGUniversity of Calgary · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

High-quality data are needed to guide interventions aimed at improving breast cancer outcomes in sub-Saharan Africa. We present data from an institutional breast cancer database to create a framework for cancer policy and development in Nigeria. An institutional database was queried for consecutive patients diagnosed with breast cancer between January 2010 and December 2018. Sociodemographic, diagnostic, histopathologic, treatment and outcome variables were analyzed. Of 607 patients, there were 597 females with a mean age of 49.8 ± 12.2 years. Most patients presented with a palpable mass (97%) and advanced disease (80.2% ≥ Stage III). Immunohistochemistry was performed on 21.6% (131/607) of specimens. Forty percent were estrogen receptor positive, 32.8% were positive for HER-2 and 43.5% were triple negative. Surgery was performed on 49.9% (303/607) of patients, while 72% received chemotherapy and 7.9% had radiotherapy. At a median follow-up period of 20.5 months, the overall survival was 43.6% (95% CI -37.7 to 49.5). Among patients with resectable disease, 18.8% (57/303) experienced a recurrence. Survival was significantly better for early-stage disease (I and II) compared to late-stage disease (III or IV) (78.6% vs 33.3%, P < .001). Receipt of adjuvant radiotherapy after systemic chemotherapy was associated with improved survival in patients with locally advanced disease (68.5%, CI -46.3 to 86 vs 51%, CI 38.6 to 61.9, P < .001). This large cohort highlights the dual burden of advanced disease and inadequate access to comprehensive breast cancer care in Nigeria. There is a significant potential for improving outcomes by promoting early diagnosis and facilitating access to multimodality treatment.

Indexed as

AdultAgedBreast NeoplasmsDatabases, FactualDisease ManagementDrug TherapyErb-b2 Receptor Tyrosine KinasesFemaleHumansMastectomyMiddle AgedNeoplasm StagingNigeriaProspective StudiesRadiotherapyReceptors, EstrogenERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, Estrogenbreastcancerdatabaselow- and middle-income countrysurvival

Identifiers

PMID33506499
PMCPMC8394611
OpenAlexW3124357144

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.